Missed Appointment

A provider shall receive payment for a missed appointment if the appointment was arranged by the Bureau, the case manager, or employer and the case manager or employer fails to cancel the appointment not less than one (1) business day prior to the time of the appointment. The provider may bill the employer up to $200 for the missed appointment using state-specific code Z0110 for a new patient visit. For an established patient, the provider may bill up to $100 using state-specific code Z0111. The provider shall not receive payment for diagnostic testing or other services that would have been billed had the patient attended the appointment.